ORBİTA TAVAN KIRIĞI: ANTERİOR KRANİAL FOSSA İÇİNE GLOBE DİSLOKASYONU

Yıl 2011, Cilt: 2 Sayı: 1, 47 - 49, 01.01.2011

Samad Shams Vahdati Hosna Sadeghi

Öz

Fractures of the orbit usually involve the floor or the medial wall of the orbit. However, if the roof of the orbit is thin, a blow-out fracture can occur upward into the frontal sinus. Fracture of the orbit’s roof accompanying complete dislocation of the globe to the cranial fossa has rarely been recorded. Herein we report on a 58-year-old man referred to our emergency department after falling from a tractor and suffering from a blunt trauma to his face. At presentation, the globe was not seen in the right orbit. CT-scan revealed the fracture of supra-orbital roof with globe dislocation into the anterior cranial fossa. The patient underwent frontal craniotomy and the globe was retrieved by traction through the conjunctival tissue and the fracture was repaired. The globe was repositioned.

Anahtar Kelimeler

Göz Küresi, Orbita Tavan Kırığı, Travma

ORBITAL ROOF FRACTURE: DISLOCATION OF GLOBE INTO THE ANTERIOR CRANIAL FOSSA

Öz

Fractures of the orbit usually involve the floor or the medial wall of the orbit. However, if the roof of the orbit is thin, a blow-out fracture can occur upward into the frontal sinus. Fracture of the orbit’s roof accompanying complete dislocation of the globe to the cranial fossa has rarely been recorded. Herein we report on a 58-year-old man referred to our emergency department after falling from a tractor and suffering from a blunt trauma to his face. At presentation, the globe was not seen in the right orbit. CT-scan revealed the fracture of supraorbital roof with globe dislocation into the anterior cranial fossa. The patient underwent frontal craniotomy and the globe was retrieved by traction through the conjunctival tissue and the fracture was repaired. The globe was repositioned

Anahtar Kelimeler

Globe, Orbital Roof Fracture, Trauma

Kaynakça

• Kohlhof JK, Driemel O, Müller-Richter UD. Traumatic disloca- tion of the globe into the maxillary sinus-is rehabilitation possible? Klin Monbl Augenheilkd 2007;224:867-870.
• Seunghyun K and Sehyun B. Traumatic dislocation of the globe into the maxillary sinus associated with extraocular muscle injury. Graefe’s Archive for Clinical and Experimental Ophthalmology 2005;243:1280-3.
• Pelton RW, Rainey AM, Lee AG. Traumatic Subluxation of the Globe into the Maxillary Sinus. Am J Neuroradiol 1998;19:1450-1.
• Jelleb B, Bahaali T, Moutaoukil A, Khoumirir R, Raji A, Ghan- nane H, et al. Management of a severe Cranio-Orbito-Facial trau- ma with a dislocation of the globe into the maxillary sinus. Bull Soc belge Ophtalmol 2008;309:37-41.
• Kang BD, Jang MH. A case of blowout fracture of the orbital wall with eyeball entrapped within the ethmoid sinus. Korean J Oph- thalmol 2003;17:149-153.
• Lee KH, Ahn JH, Kyung SE, Chang MH. Case of Dislocation of the Globe into the Maxillary Sinus after Orbital Wall Fracture. J Korean Ophthalmol Soc 2008;9:368-376.
• Okabe H, Kimura K, Sonoda S, Sakamoto T. Displacement of globe into ethmoid sinus by orbital medial wall fracture with good recovery of vision. Jpn J Ophthalmol 2005;49:426-8.
• Abrishami M, Aletaha M, Bagheri A, Salour SH, Yazdani S. Trau- matic subluxation of the globe into the maxillary sinus. Ophthal Plast Reconstr Surg 2007;23:156-8.
• Avadhanam VS, Sreedhara SP, Ameerally P, El-Ghazali KMS. Traumatic globe dislocations-Significance of early intervention. Injury Extra 2008;39:356-8.
• Berkowitz RA, Putterman AM, Patel AB. Prolapse of the globe into the maxillary sinus after orbital floor fracture. Am J Ophthal- mol 1981;91:253-57.
• Jones DEP and Evans JNG. Blowout fractures of the orbit: an inves- tigation into their anatomical basis. J Laryngol Otol 1967;81:1109- 1120.
• Curtin HD, Wolfe P, Schramm V. Orbital Roof Blow-out Fractures. AJR.1982; 139:969-972.
• Smith B and Regan WF. Blowout fracture of the orbit: mecha- nism and correction of internal orbital fractures. Am J Ophthalmol 1957;44:733-9.
• Rothman M, Simon EM, Zoarski GH, Zagardo MT. Superior Blowout Fracture of the Orbit::The Blowup Fracture. Am J Neuro- radiol 1998;19:1448-9.